The Bright Idea...

MOSAIC Honeycomb Seamless Care Model

Allergy is now considered a modern epidemic with around 20% of the population suffering from hay fever and around 10% of the population suffering from asthma. Despite this however, there is a lack of training in allergies in medical school undergraduate programmes, and subsequently a lack of training in Primary and Secondary Care. In response to this, the Department of Health set up regional allergy centres nationwide, for which The Newcastle Upon Tyne Hospitals NHS Foundation Trust was nominated as a Centre of Excellence. Facilities are provided for the diagnosis of complex cases and training in allergy is provided for specialist trainees, GPs, nurses, schools and allied health, to provide a truly seamless care model.

The Innovators...

Dr. Louise Michaelis, Consultant Paediatrician in Immunology and Allergy

Dr. Gillian Vance, Clinical Senior Lecturer/Honorary Consultant in Paediatric Allergy
James Gardner, Nurse Consultant in Paediatric Allergy
Anne McDonnell and Julie Pentland, Allergy Nurse Specialists
James Callaghan, Head of Nutrition and Dietetics
Dr. Mike McKean, Clinical Director
Jane Melvin, Directorate Manager and Jo Fell, Deputy
Directorate Manager
Great North Children’s Hospital, The Newcastle upon Tyne Hospitals
NHS Foundation Trust

Dr. Sachin Mannikar, Consultant Paediatrician
Queen Elizabeth Hospital, Gateshead

Jonathan McCutcheon, Manager
Dr. Paul Netts and Dr. Sian Williams, General Practitioner Specialists in Paediatric Allergy
Benfield Park Medical Group

Helen Byworth, Assistant Director of Contracting and Performance
Royal Victoria Infirmary

The Bright Idea...

Pathway of Care

Older people living with frailty can have complex needs that can be challenging to address. Accordingly, the recognition and appropriate management of those living with frailty in care homes carries a risk of unmet health needs. Understanding this, as a Care Home Vanguard Programme, Newcastle Gateshead Clinical Commissioning Group realised the importance of clinical engagement in order to positively influence care delivery through the development of robust care pathways. They have developed a solid team, known as the Pathway of Care (PoC) Team, who strive to make a difference to the lives of older people living in care homes, adopting the mantra ‘get it right for older people and you can get it right for everyone’.

The Innovators...

Lesley Bainbridge, Lead Nurse Care Home Vanguard Programme
NHS Newcastle Gateshead Clinical Commissioning Group

In collaboration with:
The Pathway of Care Team, Newcastle Gateshead CCG’s clinical engagement forum where staff significantly experienced in the care of older people come together and make a positive difference to the lives of older people and their families; right across the spectrum of need and care.

The Bright Idea...

Rib Attack Enhanced Recovery Pathway

Chest wall injuries are associated with significant morbidity and mortality, often going undiagnosed. All hospitals are observing an increase in the number of older patients with severe chest trauma resulting from simple falls, and this will increase even further as a result of the demographic changes in the population. Moreover a third of patients suffering from chest wall injuries will experience significant respiratory compromise and infection. The team at County Durham and Darlington NHS Foundation Trust have developed a new technique for administering pain relief in patients admitted to wards with rib or sternal fractures who are unable to breathe comfortably or cope with conventional analgesia. The technique has been in operation for the last eight months and it is proving to be very successful, now being identified as standard practice within the Trust.

The Innovators…

Dr. Baskar Manickam and Dr. Jambulingam, Consultant Anaesthetists
Susie Cairney, Acute Pain Sister
Annona Laverick, Acute Pain Nurse
County Durham and Darlington NHS Foundation Trust

Dr. Duncan Lee Hamilton, Consultant Anaesthetist, James Cook University Hospital, Honorary Senior Lecturer, University of Durham